Print Violation: 00244589-AP-200888

Provider Information

Monarch Gardens Memory Care

984 PARKVIEW DRIVE
Brookings, OR 97415

Date: 1/31/2023
Report number: 00244589-AP-200888
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: Witness 1 (W1) has a history of physical and verbal behaviors which had increased. On or about January 31, 2023, W1 was involved in a resident-to-resident altercation with Alleged Victim (AV) in which W1 was the aggressor. AV was sitting at W1’s table when W1 began to tell AV to move. AV did not understand and suddenly W1 punched AV in the face. W1 claimed that AV tired to bite them, but this was not witness by staff. W1 and AV have had two prior altercations on or about November 2022. W1’s care plan has no plan in place for redirecting due to W1’s known behaviors. The facility failed to properly plan care plan around W1’s known behaviors, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01576 $500.00 fine assessed